B-plasty technique as an approach for lateral breast tumors

• Published in: The Egyptian journal of surgery : official organ of the Egyptian Society of Surgeons = Majallat al-jirāhah al-Misrīyah 2021-10, Vol.40 (4), p.1394-1400
• Main Authors: Amer, Ahmed, Elghandour, Abdelrahman, Abdelrahim, Hossam
• Format: Article
• Language: English
• Subjects: Breast cancer; Football (College); Lumpectomy; Methods
• ISSN: 1110-1121; 1687-7624
• DOI: 10.4103/ejs.ejs_253_21

Background Breast-conserving surgery (BCS) has better cosmetic outcome over mastectomy without interfering with the oncological outcome. Wide local excision of a lateral breast mass may lead to disfigurement of the final shape and symmetry with lateralization of the nipple-areola complex. Patients and methods Between March 2017 and March 2019, 40 cases with lateral breast tumors were divided sequentially into two groups; group A had conventional BCS, while group B had BCS with the B-plasty technique. Results The mean age of group A cases was 47.9±9.1 years while in group B, it was 48.8±14.2 years. The mean tumor size in group A was 2.2±0.94 cm, while in group B it was 2±0.83 cm with no statistically significant difference between two groups as regards age and tumor size. We reported wound seroma in eight (40%) cases in group A and one (5%) case in group B. The postoperative cosmetic score was good in seven (35%) cases in group A while in group B, it was good in 15 (85%) cases with statistically significant difference between both groups in favor of group B as regards wound seroma and cosmetic outcome. Conclusions B-plasty is a simple approach for lateral breast tumor with safe oncological and satisfactory aesthetic outcomes.